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Individual

JENNIFER DOMINGO-MIHALKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
750 S BASCOM AVE, VHC OB/GYN CLINIC, SAN JOSE, CA 95128-2603
(408) 885-5550
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A64430
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A644300
CA
Enumeration date
04/06/2006
Last updated
09/12/2007
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